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0 <br />3 <br />J <br />C <br />3 <br />S <br />SENDER: Csmplata items 1, Zr 3 and 4. <br />Put Your atltlraw in the "RETURN TO" sDeca on the <br />reverse fiM. FUluq to tlo ~I nt this csrtl from <br />bin9 raturMd tts you • rensrn fecal t wil I rwi W <br />ou Ma rums of M arbn tlNiraatl ro sn0 t e data of <br />dNhrM• FOr Wdltl n6r fw Ma tollowlnp smites era <br />avYltsWa. Consult D atmestar for lam end chxl <br />for smkalsJ repose[ <br />~ <br />1. <br />Show to whom, tlan entl~ dt.~elFwy <br />1. d Reatrictetl Delivery. <br />$. Anieb Atltlrassad to: <br /> <br />~"~ L.~p,, n5dn J.,Lllrv l.Qu vrJ 1..C V~. <br />z..v ~~ ,J, ~o~`. (~Vrl. <br />~~~~ L o ~u v1( <br />4. TYPO of Smite: Article NumeN <br />Fiegiftered ^ Insured <br />Certified ^ COD p o~G a'q 5(5 <br />d p <br />^ Esrpress Mail <br />Always obuin siqutun' -eddresseayLsyentaM <br />DATE DELIVERED. •r~ <br />5. Si n - Aed <br />~ <br />6. Signature - Agent <br />X ~ <br />7. Det of Delivery ` <br />6 <br />6. Atldressetys Berea ( 1 <br />tt <br />O <br />H1~' <br />~`~ <br />a <br />aO <br />3 <br />rma <br />9 <br />m <br />C <br />a <br />2 <br />x <br />m <br />n <br />m <br />H <br /> <br />P 019 279 515 <br />i <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />PVUC, qo-hJ <br />(See Reverse) ~~ <br />0 <br />Sent to P~'~ SP~mD <br />Street and NO. Zp~~ W. G(~ AuU <br />P.O., State and 21P Code <br />J7a~v. v+n' CCU J v'L~ <br />Posiape ~ S <br />Genifletl Fee <br />special Deliveq~Fee <br />Restr4cted 0611very Fee <br />Return Receipt ~ ivm~lid :.NS. <br />[o whom and Dale Dellverad J „~c <br />Return receipt showinp;tg37bghr <br />Date, and Address o} Dellivery <br />TOTAL Postapa and Fees S <br />Postmark or <br />. [. '. <br />0 <br />v <br />V1 <br /> <br />m <br />a <br />m <br />LL <br />°o <br />E <br />O <br />LL <br />N <br />S <br />C <br />w <br />w <br />~~ <br />~~ <br />3 <br />f <br />t' <br />W <br />C~ <br />0 <br />r <br />0 <br />W <br />